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Iatrogenic pneumothorax after preoperative progressive pneumoperitoneum
Neumotórax iatrogénico tras neumoperitoneo progresivo preoperatorio
Alejandra de la Fuente Añóa,
Corresponding author
adelafuente.5@alumni.unav.es

Corresponding author.
, Álvaro Valdés de Ancab, Héctor Milián Goicoecheaa, Paloma Rofso Rabosoa, Lara Blanco Terésb
a Servicio de Cirugía Torácica, Hospital Universitario de La Princesa, Madrid, Spain
b Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, Madrid, Spain
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1</a>&#41; with a Tanaka index of 45&#37;&#44; which had significantly affected her quality of life&#46; Surgery was scheduled for surgical repair of the incisional hernia and dermolipectomy&#44; preceded by preparation of the patient with BTX-A and PPP&#46; Guided by ultrasound&#44; 300 IU of BTX-A were administered to the lateral abdominal muscles &#40;150 IU on each side&#41; 5 weeks prior to surgery&#46; PPP was performed through an 8 Fr pigtail catheter that had been placed under radiological guidance in the left hypochondrium &#40;Palmer&#8217;s point&#41;&#44; administering a volume of 1000&#8211;1500 cc of room air every 48&#8201;h on an outpatient basis for a total of 5 sessions&#44; which the patient tolerated well&#46; After the last session&#44; the patient came to the emergency room with pleuritic pain in the right hemithorax&#44; which increased with respiratory movements&#46; In addition&#44; she reported pain in the right shoulder and dyspnea&#46; The patient was diagnosed with complete right pneumothorax &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; and pleural drainage resulted in complete re-expansion&#46; When the absence of air leakage was confirmed 24&#8201;h after chest tube placement&#44; the patient was discharged from the hospital with a pleural drain connected to a portable device&#46; The administration of PPP was continued&#44; with 2 new sessions&#44; until the day of surgery &#40;total PPP volume&#58; 10&#8201;000 cc&#41;&#44; and no new leakage was observed through the thoracic drain&#46; PPP was suspended 5 days prior to surgery&#46; Surgery consisted of Rives-Stoppa incisional hernia repair and dermolipectomy&#46; The endothoracic drain tube was removed on the 1st postoperative day&#44; and the patient was discharged 72&#8201;h after surgery&#46; There were no notable postoperative complications&#46; One year after the procedure&#44; the patient is asymptomatic and has had no evidence of recurrence&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The repair of abdominal wall hernias with loss of domain is an important surgical challenge due to the complexity of the surgical technique as well as the associated morbidity and mortality&#46; The most serious complications are compartment syndrome and acute respiratory failure&#46; There is no universally accepted definition of a loss of domain hernia<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Generally&#44; this concept encompasses abdominal wall hernias in which the volume of the herniated abdominal content is of such a magnitude that its reinsertion without the use of specialized techniques would cause abdominal compartment syndrome&#46; Tanaka et al&#46; and Sabbagh et al&#46; developed 2 methods to define this concept objectively and to guide the need for preoperative techniques&#46; Both techniques are based on volumetric measurements of the abdominal cavity and the hernia sac using computed tomography &#40;CT&#41; images<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a>&#46; At our hospital&#44; we use PPP together with BTX-A when the Tanaka index is greater than 25&#37;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">BTX-A<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> and PPP<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> are 2 techniques used to prepare the abdominal cavity preoperatively in order to reduce perioperative morbidity and mortality&#46; BTX-A is used to achieve reversible relaxation of the abdominal flat muscles for tension-free closure of the abdominal wall&#46; Meanwhile&#44; pneumoperitoneum is created to increase the volume of the abdominal cavity &#40;thereby improving lung functionality&#41; as well as to promote adhesiolysis&#44; which facilitates the surgical technique<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;7&#44;8</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The use of PPP has a low rate of complications&#44; although there have been reports of intra-abdominal infection&#44; infection of the intra-abdominal drain site&#44; subcutaneous emphysema&#44; decompensation of underlying pulmonary diseases&#44; or seroma<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In our case&#44; the pneumothorax that the patient developed was probably caused by the insufflation of a large volume of air over a short period of time that was greater than the patient&#8217;s abdominal cavity was able to accommodate&#46; Mouguin describes pneumothorax as a possible complication after PPP<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46; There are no clear recommendations or studies on the frequency or volume of insufflation&#46; Although some authors recommend measuring the intra-abdominal pressure to determine the insufflation volume &#40;with the aim of not exceeding 12&#8211;15&#8201;mmHg&#41;&#44; other authors recommend basing this decision on the patient&#8217;s own tolerance&#44; as in our case<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46; It is important to closely monitor patients during PPP treatment&#44; while also maintaining a high degree of suspicion in order to quickly identify and treat complications that may arise<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Despite the serious complication that our patient presented&#44; this did not prevent us from continuing with the preoperative plan&#44; and the operation was able to be completed with excellent results&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">PPP is a very useful technique for the preoperative preparation of patients with giant abdominal wall hernias&#46; It is a safe technique&#44; but it is not without complications&#46; It is important to closely monitor patients and maintain a high degree of suspicion for early diagnosis and treatment&#46; In most patients&#44; the development of complications does not prevent the surgery from being completed successfully&#46;</p></span>"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What exactly is meant by &#8216;loss of domain&#8217; for ventral hernia&#63; Systematic review of definitions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;G&#46; Parker"
                            1 => "S&#46; Halligan"
                            2 => "S&#46; Blackburn"
                            3 => "A&#46;A&#46;O&#46; Plumb"
                            4 => "L&#46; Archer"
                            5 => "S&#46; Mallett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00268-018-4783-7"
                      "Revista" => array:6 [
                        "tituloSerie" => "World J Surg"
                        "fecha" => "2019"
                        "volumen" => "43"
                        "paginaInicial" => "396"
                        "paginaFinal" => "404"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30187090"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46;Y&#46; Tanaka"
                            1 => "J&#46;H&#46; Yoo"
                            2 => "A&#46;J&#46; Rodrigues"
                            3 => "E&#46;M&#46; Utiyama"
                            4 => "D&#46; Birolini"
                            5 => "S&#46; Rasslan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10029-009-0560-8"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hernia"
                        "fecha" => "2010"
                        "volumen" => "14"
                        "paginaInicial" => "63"
                        "paginaFinal" => "69"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19756913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Progressive preoperative pneumoperitoneum preparation &#40;the Goni Moreno protocol&#41; prior to large incisional hernia surgery&#58; volumetric&#44; respiratory and clinical impacts&#46; A prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Sabbagh"
                            1 => "F&#46; Dumont"
                            2 => "D&#46; Fuks"
                            3 => "T&#46; Yzet"
                            4 => "P&#46; Verhaeghe"
                            5 => "J&#46;M&#46; Regimbeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10029-011-0849-2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hernia"
                        "fecha" => "2012"
                        "volumen" => "16"
                        "paginaInicial" => "33"
                        "paginaFinal" => "40"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21773758"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of Botulinum Toxin Type A before abdominal wall hernia reconstruction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;R&#46; Ibarra-Hurtado"
                            1 => "C&#46;M&#46; Nu&#241;o-Guzm&#225;n"
                            2 => "J&#46;E&#46; Echeagaray-Herrera"
                            3 => "E&#46; Robles-V&#233;lez"
                            4 => "J&#46;J&#46; Gonz&#225;lez-Jaime"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00268-009-0203-3"
                      "Revista" => array:6 [
                        "tituloSerie" => "World J Surg"
                        "fecha" => "2009"
                        "volumen" => "33"
                        "paginaInicial" => "2553"
                        "paginaFinal" => "2556"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19771472"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preoperative progressive pneumoperitoneum and botulinum toxin type A in patients with large incisional hernia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Bueno-Lled&#243;"
                            1 => "A&#46; Torregrosa"
                            2 => "N&#46; Ballester"
                            3 => "O&#46; Carre&#241;o"
                            4 => "F&#46; Carbonell"
                            5 => "P&#46;G&#46; Pastor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10029-017-1582-2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hernia"
                        "fecha" => "2017"
                        "volumen" => "21"
                        "paginaInicial" => "233"
                        "paginaFinal" => "243"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28124308"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Progressive preoperative pneumoperitoneum in patients with giant hernias of the abdominal wall"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;C&#46; L&#243;pez Sanclemente"
                            1 => "J&#46; Robres"
                            2 => "M&#46; L&#243;pez Cano"
                            3 => "J&#46; Barri"
                            4 => "R&#46; Lozoya"
                            5 => "S&#46; L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ciresp.2012.08.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2013"
                        "volumen" => "91"
                        "paginaInicial" => "444"
                        "paginaFinal" => "449"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23473433"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preoperative combination of progressive pneumoperitoneum and botulinum toxin type A in patients with loss of domain hernia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Bueno-Lled&#243;"
                            1 => "A&#46; Torregrosa"
                            2 => "R&#46; Jim&#233;nez"
                            3 => "P&#46;G&#46; Pastor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00464-018-6089-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Endosc"
                        "fecha" => "2018"
                        "volumen" => "32"
                        "paginaInicial" => "3599"
                        "paginaFinal" => "3608"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29450631"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preparaci&#243;n preoperatoria de la hernia con p&#233;rdida de domicilio&#46; Neumoperitoneo progresivo y toxina botul&#237;nica tipo A"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Bueno-Lled&#243;"
                            1 => "A&#46; Torregrosa Gallud"
                            2 => "R&#46; Jim&#233;nez Rosell&#243;n"
                            3 => "F&#46; Carbonell Tatay"
                            4 => "P&#46; Garc&#237;a Pastor"
                            5 => "S&#46; Bonaf&#233; Diana"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ciresp.2017.04.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2017"
                        "volumen" => "95"
                        "paginaInicial" => "245"
                        "paginaFinal" => "253"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28554686"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is progressive preoperative pneumoperitoneum &#40;PP&#41; really safe&#63; Assessment of its specific morbi-mortality in a retrospective study over 152 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "N&#46; Mougin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Hum Health Pathol"
                        "fecha" => "2015"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preoperative progressive pneumoperitoneum in obese patients with loss of domain hernias"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;C&#46; Valezi"
                            1 => "B&#46;G&#46;F&#46; de Melo"
                            2 => "A&#46;C&#46; Marson"
                            3 => "M&#46; Liberatti"
                            4 => "A&#46;G&#46; Lopes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.soard.2017.10.009"
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Obes Relat Dis"
                        "fecha" => "2018"
                        "volumen" => "14"
                        "paginaInicial" => "138"
                        "paginaFinal" => "142"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29174884"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos